Evidence map›Paper›PMID 32912230›Full record

ArticleBMC public health2020

COVID-19 clinical outcomes and nationality: results from a Nationwide registry in Kuwait.

Hala Hamadah, Barrak Alahmad, Mohammad Behbehani, Sarah Al-Youha, Sulaiman Almazeedi, Mohannad Al-Haddad, Mohammad H Jamal, Salman Al-Sabah

Abstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
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  9. Burden of fine air pollution on mortality in the desert climate of Kuwait.Journal of exposure science & environmental epidemiology · 2023
    Article
  10. Extreme heat and work injuries in Kuwait's hot summers.Occupational and environmental medicine · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hala HamadahJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Barrak AlahmadDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Mohammad BehbehaniJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Sarah Al-YouhaJaber Al-Ahmad Al-Sabah Hospital, Ministry of Health, Kuwait City, Kuwait.
Sulaiman AlmazeediJaber Al-Ahmad Al-Sabah Hospital, Ministry of Health, Kuwait City, Kuwait.
Mohannad Al-HaddadJaber Al-Ahmad Al-Sabah Hospital, Ministry of Health, Kuwait City, Kuwait.
Mohammad H JamalJaber Al-Ahmad Al-Sabah Hospital, Ministry of Health, Kuwait City, Kuwait.
Salman Al-SabahJaber Al-Ahmad Al-Sabah Hospital, Ministry of Health, Kuwait City, Kuwait. salman.k.alsabah@gmail.com.ORCID http://orcid.org/0000-0002-8081-8544

Funding

Kuwait Foundation for the Advancement of Sciences COR-PROP-35
6 · The paper itself

Abstract

backgroundIn light of the COVID-19 pandemic, many have flagged racial and ethnic differences in health outcomes in western countries as an urgent global public health priority. Kuwait has a unique demographic profile with two-thirds of the population consisting of non-nationals, most of which are migrant workers. We aimed to explore whether there is a significant difference in health outcomes between non-Kuwaiti and Kuwaiti patients diagnosed with COVID-19.

methodsWe used a prospective COVID-19 registry of all patients (symptomatic and asymptomatic) in Kuwait who tested positive from February 24th to April 20th, 2020, collected from Jaber Al-Ahmad Al-Sabah Hospital, the officially-designated COVID-19 healthcare facility in the country. We ran separate logistic regression models comparing non-Kuwaitis to Kuwaitis for death, intensive care unit (ICU) admission, acute respiratory distress syndrome (ARDS) and pneumonia.

resultsThe first 1123 COVID-19 positive patients in Kuwait were all recruited in the study. About 26% were Kuwaitis and 73% were non-Kuwaiti. With adjustments made to age, gender, smoking and selected co-morbidities, non-Kuwaitis had two-fold increase in the odds of death or being admitted to the intensive care unit compared to Kuwaitis (OR: 2.14, 95% CI 1.12-4.32). Non-Kuwaitis had also higher odds of ARDS (OR:2.44, 95% CI 1.23-5.09) and pneumonia (OR: 2.24, 95% CI 1.27-4.12).

conclusionThis is the first study to report on COVID-19 outcomes between Kuwaiti and non-Kuwaiti patients. The current pandemic may have amplified the differences of health outcomes among marginalized subpopulations. A number of socioeconomic and environmental factors could explain this health disparity. More research is needed to advance the understanding of policymakers in Kuwait in order to make urgent public health interventions.

Indexed as

Health Status DisparitiesAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCoronavirus InfectionsCOVID-19EthnicityFemaleHumansInfantKuwaitMaleMiddle AgedCOVID-19Health disparityKuwaitMigrant workersNationality

Identifiers

PMID32912230
PMCPMC7482377

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.